Sacred Heart Medical Center v. Boundary County

66 P.3d 238, 138 Idaho 534, 2003 Ida. LEXIS 36
CourtIdaho Supreme Court
DecidedMarch 5, 2003
Docket27933
StatusPublished
Cited by7 cases

This text of 66 P.3d 238 (Sacred Heart Medical Center v. Boundary County) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sacred Heart Medical Center v. Boundary County, 66 P.3d 238, 138 Idaho 534, 2003 Ida. LEXIS 36 (Idaho 2003).

Opinion

WALTERS, Justice.

This is an appeal by Sacred Heart Medical Center (“SHMC”) in a medical indigency case. The Boundary County Board of County Commissioners advised SHMC that it did not have the jurisdiction to hear and approve a medical indigency application filed by SHMC. The district court on review remanded the case to the commissioners for a hearing on the merits. SHMC appeals, contending that the district court should have approved its application pursuant to I.C. § 31-3511(4) because the commissioners *535 failed to act upon the application. 1 Boundary County argues that it does not have jurisdiction because the application was untimely. We affirm.

FACTS AND PROCEDURAL BACKGROUND

On May 4, 2000, Edwina H., a Boundary County resident, was admitted to Sacred Heart Medical Center (“SHMC”) for emergency medical treatment. On July 5, a request for Medicaid benefits was filed on behalf of the patient by SHMC. Following the denial of the Medicaid petition, SHMC submitted an application for county assistance with Boundary County on July 14, 2000.

On July 25, the Boundary County Commissioners responded by letter to SHMC’s application. The letter advised SHMC that it did not have jurisdiction to hear and approve the application in accordance with I.C. § 31-3511(2). 2 On August 16, SHMC requested a hearing on the commissioners’ determination. In response, the commissioners referred SHMC to its July 25 letter.

SHMC then filed an action with the district court seeking to compel Boundary County to declare SHMC’s application for medical indigency approved pursuant to I.C. § 31-3511(4). Boundary County filed a motion to dismiss. SHMC filed an objection to the motion to dismiss and a motion for summary judgment. The district court heard arguments and remanded to the Boundary County Board of Commissioners for a hearing on the merits of the indigent assistance application filed by SHMC on behalf of Edwina H. This appeal followed. SHMC challenges the district court’s refusal to order the application approved pursuant to I.C. § 31-3511(4).

ISSUES PRESENTED ON APPEAL

1. Did the district court err by not declaring SHMC’s application for medical indigency benefits approved pursuant to I.C. § 31-3511(4)?
2. Did the district court err by not dismissing SHMC’s complaint for lack of jurisdiction?
3. Did the district court err in remanding the matter for a hearing before the Boundary County Board of Commissioners?
4. Are either of the parties entitled to attorney fees on appeal?

STANDARD OF REVIEW

In reviewing the district court’s decision on a motion for summary judgment, the standard of review is whether there are any genuine issues of material fact, and, if not, whether the prevailing party was entitled to judgment as a matter of law. I.R.C.P. 56(c); Sacred Heart Medical Center v. Nez Perce County, 136 Idaho 448, 449, 35 P.3d 265, 266 (2001). If the evidence shows no disputed issues of material fact, what remains is a question of law, over which the appellate court exercises free review. Id.

DISCUSSION

I.

This Court recently explained the process for medical indigency determinations. The Court stated:

Typically, applications and requests for necessary medical services are filed with the clerk of the board of county commissioners within ten days prior to receiving nonemergency necessary medical services, and within thirty[-one] days following emergency medical services. I.C. § 31-3505. The clerk interviews the applicant and investigates the information provided with the application within specified time limits, and files findings with the board. I.C. § 31-3505A. The board is required to *536 make an initial determination on the application for medical services rendered within fifteen days, and within five days for applications for services yet to be provided, and then-within five days of the initial determination-to mail a copy to the applicant, to the third party making an application on behalf of the applicant (as the case may be) and to each provider listed on the application. I.C. § 31-3505C. An applicant or provider may appeal from an adverse determination by filing a written notice of appeal with the board within twenty-eight days of the date of the initial determination. I.C. § 31-3505D. If no appeal is filed within the time allowed, the determination of the board becomes final. Id. The board shall hold a hearing on the appeal within seventy-five days (unless continued for not more than forty-five days) and shall make a final determination within thirty days of the conclusion of the hearing. I.C. § 31-3505E. If, after a hearing as provided in section 31-3505E, the final determination of the board is to deny an application for financial assistance with necessary medical services, the applicant, or a third party making an application on an applicant’s behalf, may seek judicial review of the final determination of the board. I.C. § 31-3505G.

Sacred Heart Medical Center v. Nez Perce County, 136 Idaho 448, 449-50, 35 P.3d 265, 266-67 (2001). In eases where an application is made for Medicaid or social security benefits, a delayed application may be filed so long as the Medicaid or social security application was filed within 90 days from the date of medical services or admission, in cases of hospitalization. I.C. § 31-3505(4)(a). The delayed application must be filed within 180 days of the medical services or hospitalization. Id.

A. Jurisdiction

Boundary County initially rejected SHMC’s application because it found that it did not have jurisdiction to hear this case pursuant to I.C. § 31-3511(2) and on appeal argues that this Court should affirm this determination. However, SHMC contends that it filed its application within the time parameters set forth in I.C. § 35-3505 as a delayed third-party application because SHMC had filed a request for Medicaid benefits on behalf of Edwina H.

Edwina H.’s emergency medical services were rendered by SHMC on May 4, 2000. On June 23, Nancy Ryals, Boundary County deputy clerk in charge of indigency applications, was contacted by SHMC to find out the status of Edwina H.’s application for county assistance. Ryals informed SHMC that an application had not been filed, and even if an application was filed, it would be untimely at that point pursuant to I.C. § 31-3505(2). Ryals then advised SHMC that I.C. § 31-3505(4) allows for a delayed application when Medicaid is applied for within 90 days of medical service or admission. On July 7, a request was filed with Medicaid by SHMC on behalf of Edwina H. On July 11, the Medicaid request was denied because Edwina H. already had a pending application for Medicaid benefits that had been filed earlier.

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Cite This Page — Counsel Stack

Bluebook (online)
66 P.3d 238, 138 Idaho 534, 2003 Ida. LEXIS 36, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sacred-heart-medical-center-v-boundary-county-idaho-2003.